CH 27: Pre Test Flashcards
Most states have a provision in law that will allow patients to be transported against their will if they are:
a danger to themselves or others.
To position a restrained patient, you should:
place the patient faceup.
While you are en route to a young male patient who is reported to be combative and despondent, your first course of action should be to:
alert police, and request their presence at the scene to establish its safety.
Your partner is conducting a detailed examination of a 19-year-old female patient who is experiencing depression and displaying an abnormal distrust of others (paranoia). Your partner immediately begins assessing the patient’s abdomen by exposing it, inspecting it, and palpating it carefully without introducing himself or explaining what he is going to do. Do you consider this approach to be appropriate? Why or why not?
No; while a physical exam is appropriate for all patients, it should only be performed after trust and rapport have been established.
You arrive at the scene of a 25-year-old male patient who is reportedly suffering from an acute episode of schizophrenia and who has threatened self-harm. On arrival, you should first:
conduct a scene size-up and ensure the safety of the scene.
Which of the following techniques in caring for a patient with a stress reaction is least helpful in managing the situation?
Moving through your assessment quickly to ease the patient’s tension
Which of the following medical conditions is most likely to present as a psychiatric or emotional disorder?
stroke
You are assessing a patient with a behavioral disorder who appears to be slightly agitated. Which of the following can you do to help calm the patient’s anxiety and avoid escalation?
Encourage the patient to voice what is bothering her
Which patient is most exhibiting unacceptable behavior given the situation?
An alert patient insists on spitting at your face.
Which person is most likely in a behavioral emergency?
A person is holding a balloon in a park and screaming.
Which of the following statements regarding suicide is true?
Suicide rates are high among 15- to 25-year-olds.
What should be your first phase of assessment of a patient with a behavioral emergency after you complete the scene size-up?
Primary assessment
At a motor vehicle accident with a single patient, the patient is screaming hysterically. To take control of the situation, you need to:
calmly treat the patient as an individual.
When a patient with a behavioral disorder refuses care and transport, what is your best course of action?
Give the patient an honest explanation as to why care and transportation are important, while contacting medical direction.
A behavioral emergency is one in which:
a patient’s behavior is not typical for the situation.
You have been called to the local jail for a patient who has made several deep lacerations on the wrists. The patient has been disarmed but is still threatening to commit suicide. What should you do?
Make the lacerations on the patient’s wrists your primary concern
Which of the following is often part of a suicide plan?
Giving away personal possessions
You are at the home of a middle-aged male patient who is exhibiting unusual behavior and acting erratically. You and your partner are standing in the doorway of the patient’s bedroom while you talk with him. Which of the following observations is most likely to suggest imminent aggression from the patient?
The patient is sitting on the bed, hands clenched into fists, and he is looking down toward the floor.
When restraining a patient, you must use:
reasonable force.
